On this page The Office for Early Childhood Development is partnering with Family Day Care to deliver a new pilot program to help parents and caregivers access development checks for their children at Family Day Care.If your child has a child development check, some of the information collected by Family Day Care will be shared with the Office for Early Childhood Development. This will include things like your child’s postcode, gender, date of birth, and check result. Names will not be shared. This information is shared for monitoring and evaluation purposes.Reporting will never include anything that could identify them. All information is kept confidential. The Office for Early Childhood Development will store any collected information securely.You do not need to consent to sharing this information to receive a child development check at Family Day Care. Not consenting to share information will not impact your relationship with either Family Day Care, the Department for Education, or the Office for Early Childhood Development, now or in the future. You can withdraw consent at any time by informing Family Day Care, and your information will not be included in reports from that point on.The Office for Early Childhood Development is partnering with the Parenting Research Centre to conduct an evaluation of the pilot. The aim of the evaluation is to find out what it was like for families to access the child development check. This will help the Office for Early Childhood Development improve services for South Australian children. You will be invited to undertake a short survey and talk to the Parenting Research Centre about your experience using the service.If you have any questions or concerns about the use of pilot data, you can contact:Data Sharing and Analysis team, Office for Early Childhood Development, DLEducationDataSharingandAnalysis@sa.gov.au Family detailsChild's first name * Child's last name * Child's date of birth * Day 12345678910111213141516171819202122232425262728293031 Month JanFebMarAprMayJunJulAugSepOctNovDec Year 2003200420052006200720082009201020112012201320142015201620172018201920202021202220232024 Was your child born prematurely? * -- Please Select --YesNo Parent or carer's first name * Parent or carer's last name * Parent or carer's phone number * Parent or carer's email * Parent or carer's postcode * Educator detailsEducator's name * Educator's email * Today's date * Day 12345678910111213141516171819202122232425262728293031 Month JanFebMarAprMayJunJulAugSepOctNovDec Year 19001901190219031904190519061907190819091910191119121913191419151916191719181919192019211922192319241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027202820292030203120322033203420352036203720382039204020412042204320442045204620472048204920502051205220532054205520562057205820592060206120622063206420652066206720682069207020712072207320742075207620772078207920802081208220832084208520862087208820892090209120922093209420952096209720982099 Child development checklistI consent for my child to have a child development check * -- Please Select --YesNo I consent for deidentified data to be shared with Office for Early Childhood Development for reporting and evaluation purposes * -- Please Select --YesNo I will attend during my child’s development check * -- Please Select --YesNo If I will not attend in person, I consent for my child’s educator to participate on my behalf * -- Please Select --YesNo I will be able to phone or video call during my child’s development check and consent for my child’s educator to attend in person * -- Please Select --YesNo I consent for information relating to my child’s development to be shared with my child’s educator to be used to enhance their learning and development * -- Please Select --YesNo Acknowledgement 1. I have read the information sheet, and I understand the reasons for this approach. My questions have been answered to my satisfaction. My consent is given voluntarily. 2. I understand that the purpose of this pilot is to improve the delivery of child development checks in South Australia. 3. My identity and the identify of my child will be kept confidential, and nothing will be published which could possibly reveal my identity. 4. I understand that my involvement in the program will not affect my relationship with the Office for Early Childhood Development, Department for Education, or Family Day Care. 5. I can withdraw my consent at any time and it will not affect my relationship with the Office for Early Childhood Development, Department for Education, or Family Day Care. 6. I understand all screeners are mandated notifiers and are required by law to notify the Department for Child Protection if they suspect on reasonable grounds that a child or young person is, or may be, at risk of harm. 7. I understand screeners may report an actual, identifiable risk of harm (from others or as a result of their own actions) to emergency services (e.g., SA Police, Mental Health Triage Service). I have read and understand the acknowledgements above * -- Please Select --yes